M08.09
BillableUnspecified juvenile rheumatoid arthritis, multiple sites
HCC Category Mapping
V28HCC 93 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.175V24HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.307ESRDHCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000RxHCCHCC 83 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000What This Code Means
A type of arthritis that develops in children, affecting multiple joints throughout the body, where the specific cause is not further specified.
Coding Tips
- •Use this code when juvenile rheumatoid arthritis involves 2 or more sites and the specific sites are not individually documented
- •Ensure documentation confirms multiple joint involvement before assigning this code
Clinical Significance
Juvenile rheumatoid arthritis affecting multiple joint sites represents the most severe form of pediatric inflammatory arthritis with systemic implications. This polyarticular presentation requires aggressive treatment and comprehensive monitoring to prevent widespread joint destruction and growth complications.
Documentation Requirements
- ✓Physician diagnosis of juvenile rheumatoid arthritis
- ✓Documentation of involvement of multiple joint sites
- ✓Age of onset clearly documented as under 16 years
- ✓Evidence of polyarticular inflammatory disease
- ✓Comprehensive joint examination findings
- ✓Laboratory studies supporting systemic inflammation
- ✓Treatment plan with aggressive immunosuppressive therapy
- ✓Regular monitoring for systemic complications
Commonly Confused Codes
Code Hierarchy
└M08Juvenile arthritis└M08.0Unspecified juvenile rheumatoid arthritis└M08.09Unspecified juvenile rheumatoid arthritis, multiple sites
└M08.09Unspecified juvenile rheumatoid arthritis, multiple sites